Modern methods of treatment of spinal neuroсompression pain syndromes

Authors

  • A. V. Ipatov State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of Ministry of Public Health of Ukraine”, Dnipro, Ukraine
  • A. M. Tarasenko State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of Ministry of Public Health of Ukraine”, Dnipro, Ukraine
  • L. V. Kuzmina State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of Ministry of Public Health of Ukraine”, Dnipro, Ukraine
  • L. V. Mironchuk State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of Ministry of Public Health of Ukraine”, Dnipro, Ukraine

Keywords:

neck, pain, treatment, block

Abstract

The aim is to investigate the outcome of patients with neuroсompressive pain syndromes. There were analyzed close (1st and 3rd day) and long term (6 months) outcomes in 30 patients with nerve compression pain syndromes (Department of Traumatology and Orthopedics of SI “Ukrainian State Research Institute of Medical and Social Problems of Disability of Ministry of Public Health of Ukraine”). Participants were divided into two groups. The first (primary) group consisted of patients, undergoing the treatment course (NSAIDs, muscle relaxants, B-vitamins, exercise and physical therapy etc.) using the method of selective block of the affected nerve root under X-ray control (30 cases). The second (control) group consisted of patients undergoing standard conservative treatment (30 patients). Before treatment all patients underwent magnetic resonance imaging (MRI). Treatment of the two groups of patients was evaluated by a modified Nurick Scale (NS) in 1, 3 day, and 6 months after manipulation. 1 day after manipulation, 93 % of the first group patients corresponded to level 1 according to NS, and 7 % – to level 2. The second group: level 1 – 33 %, level 2 – 67 % . 3 days after manipulation, 87 % of the first group patients corresponded to level 1 according to NS, and 13 % – to level 2. The second group: level 1 – 40 %, level 2 – 60 %. Analysing the outcomes of two groups in 6 months after manipulation, it suggests the condition improvement in 87 % of group I patients and 80 % of group II patients to the first and second levels according NS. No changes after treatment were observed in 7 % of the first group patients, and in 7 % of the second group patients. Deterioration was observed in 6 % of patients in group I and 13 % of patients in group II.

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References

Клінічні протоколи надання медичної допомоги хворим за спеціальностями “Нейрохірургія” та “Дитяча нейрохірургія” / Український нейрохірургічний журнал. – 2008. – № 3. – 224 с.

Попелянский Я. Ю., Штульман Д. Р. Боли в шее, спине и конечностях. Болезни нервной системы / под ред. Н. Н. Яхно, Д. Р. Штульман. – М. : Медицина, 2001. – С. 293–316.

Левин О. С. Диагностика и лечение боли в шее и верхних конечностях // Русский медицинский журнал. – 2006. – № 9. – С. 713– 718.

Левин О. С. Диагностика и лечение неврологических проявлений остеохондроза позвоночника // Consilium medicum. – 2004. – № 6. – С. 547–554.

Launay F., Leet A., Sponseller P. A prospective study of health and risk of mortality after spinal cord injury / Arch. Phys. Med. Rehabil. – 2008. – № 89 (8). – Р. 1482–1491.

Nurick S. The pathogenesis of the spinal cord disorder associated with cervical spondylosis. Brain. 95:87–100 (1972).

Published

2017-03-01

How to Cite

1.
Ipatov AV, Tarasenko AM, Kuzmina LV, Mironchuk LV. Modern methods of treatment of spinal neuroсompression pain syndromes. PMJUA [Internet]. 2017 Mar. 1 [cited 2021 Dec. 9];2(1):51-6. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/47

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Original article